UHIN
UHIN (Utah Health Information Network) is a nonprofit, community-founded healthcare interoperability organization operating a national X12 EDI clearinghouse and Utah's only statewide Clinical Health Information Exchange. It serves providers, payers, ACOs, and government agencies via transaction fees and subscriptions.
- Company typePrivate
- Founded1993
- HeadquartersIskola Út, Hungary
- Headcount11–50
- GTM typeB2B
- OfferingSoftware
What UHIN does
UHIN (Utah Health Information Network) is a 501(c)-style nonprofit healthcare coalition founded in 1993 by Utah healthcare providers, payers, and state government to serve as a neutral central hub for electronic healthcare data exchange. It operates two interlocking platforms: a national clearinghouse that routes X12 EDI transactions (837, 835, 277, 999) between providers and health plans, and the CHIE (Clinical Health Information Exchange), which is Utah's only statewide Health Information Exchange. The organization processed 329 million clearinghouse transactions in 2024.
Its product portfolio includes the MYUHIN web-based claims management portal (supporting SFTP, FileTool, and hand-entry submission plus Templates/Drafts), the CHIE Alerts module (ADT notifications, lab results, Falls Risk Indicator, and LACE readmission scores), UHIN Payments for patient billing, and UTRANSEND for archived data exchange. The technology stack is built on Laravel, MySQL, Kafka, Node.js, and Vue.js with containerized deployment; the CHIE is migrating to a FHIR-enabled architecture. UHIN is SOC 2 Type 2 certified and EHNAC HNAP accredited, with HIPAA-compliant operations.
UHIN generates revenue through transaction fees on clearinghouse services (claims submission, eligibility verification, prior authorization, remittance advice) and recurring subscriptions for CHIE clinical data access and alerting. Go-to-market is relationship-led and community-led, supported by a 21-organization Board of Directors (including Aetna, Intermountain Health, HCA Healthcare, Select Health, University of Utah Health Plans, and Utah Medicaid), four standing committees, an annual HIT Conference, and direct portal-based signups. Primary customer segments are healthcare providers (small practices through large systems) and health plans (commercial, Medicaid, and Medicare Advantage). In April 2024, UHIN announced an affiliation with Comagine Health, a national nonprofit healthcare consulting firm, signaling a move toward multi-state reach.
UHIN firmographics
Firmographics- Name
- UHIN
- Legal name
- Utah Health Information Network
- Website
- https://uhin.org
- Company type
- Private
- Founded year
- 1993
- Operating status
- Operating
- Headcount range
- 11–50 employees
- Short description
- UHIN (Utah Health Information Network) is a nonprofit, community-founded healthcare interoperability organization operating a national X12 EDI clearinghouse and Utah's only statewide Clinical Health Information Exchange. It serves providers, payers, ACOs, and government agencies via transaction fees and subscriptions.
- Ownership category
- akta.pro rank
UHIN industry classification
Industry- Product category
- Healthcare Interoperability / Health Information Exchange
- NAICS
- Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services (518)
- SIC
- Services-Health Services (8000)
- akta.pro primary industry
- HIE Platforms & Network Services (Community/Regional/National) (HLACABAB)
- akta.pro secondary industries
- Payer-Provider Data Exchange (X12, prior auth, claims/clinical attachment) (HLACABAK), Care Team Collaboration, Secure Messaging & Clinical Communication within EHR (HLACAAAK)
Keywords
Where UHIN is headquartered
LocationHeadquarters
- HQ city
- Iskola Út
- HQ country
- Hungary
- HQ region
- Europe
Offices1 record
Markets served
UHIN business model
Business model- GTM type
- B2B
- Offering type
- Software
Revenue model
- Clearinghouse Services: UHIN operates a full-service clearinghouse providing secure data exchange between healthcare providers and health plans. Revenue is generated through transaction fees for claims submission, eligibility verification, prior authorization, remittance advice, and related EDI transactions. Services are available to both providers (via MYUHIN) and health plans.
- CHIE (Clinical Health Information Exchange) Subscriptions: Health plans and providers subscribe to CHIE services for clinical data access and exchange. This includes ADT alerts, clinical data queries, and population health tools like the Falls Risk Indicator and LACE scores.
Go-to-market motion2 records
Distribution channels4 records
Marketing channels10 records
UHIN product offering
Product offeringCore offering
UHIN operates a healthcare clearinghouse and Clinical Health Information Exchange (CHIE) that enables secure electronic transmission of clinical and administrative data between healthcare providers and health plans. The organization processes medical claims and related transactions using X12 EDI standards and provides a community health record via the CHIE, serving as a central interoperability hub for the Utah healthcare community and beyond.
Product overview
UHIN operates a platform-plus-modules architecture centered on healthcare interoperability. Core offerings include the UHIN Clearinghouse for X12 EDI-based claims processing and data exchange between providers and payers, the CHIE (Clinical Health Information Exchange) as Utah's only HIE for clinical data sharing, the MYUHIN web portal for provider claims management with tools like Templates and Drafts, and the National EDI Network for nationwide connectivity. Additional modules include CHIE Alerts providing automated notifications for ADT events, COVID-19 lab results, Falls Risk Indicator, and LACE scores for care coordination. The platform also encompasses UHIN Payments for patient billing and UTRANSEND for archived data management.
Differentiator
Problem solved
Functional benefit
Brands
- MYUHIN: Claims management portal for providers to check eligibility, submit claims, check claim status, and manage revenue.
- CHIE
- UTRANSEND
- National EDI Network
Quantifiable outcome
- 329 million clearinghouse transactions processed in 2024
- +6 more outcomes
Companies that use UHIN
Customer profileNamed customers10 records
Segments4 records
UHIN technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Feature6 records
UHIN partnerships and signals
Strategic signalPartnerships
17 partnerships are on record, tiered core and minor.
- Comagine HealthcoreComagine Health, a national nonprofit healthcare consulting firm, affiliated with UHIN on April 17, 2024. The affiliation combines UHIN's interoperability and clearinghouse expertise with Comagine Health's quality improvement and consulting capabilities. Comagine Health's CEO Marc Bennett discussed managing complexity while building partnerships as a prime contractor for CMS QIN-QIO Region 6. UHIN's Dr. Navina Forsythe (Chief Data Officer) and Sara Hallvik (VP, Data Solutions) have connections to Comagine Health. Comagine Health is also represented on UHIN's Board of Directors.
- Aetna (CVS Health)coreAetna is represented on UHIN's Board of Directors, providing governance oversight and strategic guidance. As a major national health plan, Aetna participates in UHIN's clearinghouse network and standards development initiatives.
- Intermountain HealthcoreIntermountain Health is represented on UHIN's Board of Directors. Intermountain Health representatives spoke at the 2023 HIT Conference. Intermountain is a major Utah-based health system participating in UHIN's interoperability ecosystem.
- HCA HealthcarecoreHCA Healthcare is represented on UHIN's Board of Directors. As one of the largest healthcare systems in the U.S., HCA provides strategic oversight and participates in UHIN's community governance.
- University of Utah HealthcoreRepresented on UHIN's Board of Directors through two seats: University of Utah Health Plans and University of Utah Hospitals and Clinics. University of Utah Health representatives spoke at the 2023 HIT Conference (Laura Marquez, Dr. Victoria Tiase, Michelle Litchman).
- CommonSpirit HealthcoreCommonSpirit Health became a CHIE data source as of April 2024. Clinical data from CommonSpirit's Utah facilities flows through the CHIE, expanding the clinical data available to CHIE users for care coordination and population health management.
- HL7 InternationalcoreUHIN is an active participant in HL7 International, the standards development organization behind FHIR and other healthcare interoperability standards. UHIN's CTO (Ryan McLelland) authored blog posts on FHIR, and UHIN is migrating the CHIE to a FHIR-enabled platform.
- X12coreUHIN actively participates in X12, the standards organization responsible for ASC X12 transactions (837, 835, 277, 278, etc.). UHIN has been implementing X12 standards since 1999, starting with the first national standard 4010, and continues to lead in Utah on standards implementation.
- WEDI (Workgroup for Electronic Data Interchange)coreUHIN participates in WEDI, a national organization focused on electronic data interchange in healthcare. WEDI proposes solutions for standards adoption including the 6020 Standard for prior authorization and attachments.
- HIMSS (Healthcare Information and Management Systems Society)coreUHIN participates in HIMSS, attending the annual Global Health Conference & Exhibition. HIMSS is a global advisor on health technology and hosts major interoperability and health IT events.
- CAHP (California Association of Health Plans)minorUHIN participates in CAHP, a regional health plan association covering California. This participation extends UHIN's reach into the California market and supports cross-state interoperability.
- AHIP (America's Health Insurance Plans)coreUHIN participates in AHIP, the national association for health insurers. AHIP membership supports UHIN's engagement with major national payers and its involvement in health insurance policy development.
- Civitas (Civitas Networks for Health)coreUHIN participates in Civitas Networks for Health, a national collaborative of health information exchanges and health data utilities working to accelerate health data interoperability.
- eHealthExchangecoreUHIN participates in the eHealthExchange, a national health information exchange network that enables secure data sharing among healthcare organizations, federal agencies, and state HIEs.
- MGMA (Medical Group Management Association)minorUHIN participates in MGMA, the leading association for medical practice administrators. MGMA membership supports UHIN's engagement with practice managers and medical billing professionals.
- Clearinghouse Network PartnerscoreUHIN collaborates with other clearinghouse partners to restore ERA delivery and claims routing following the Change Healthcare cybersecurity incident. UHIN's internal teams work with clearinghouse partners to facilitate smooth transmission of 835 (ERA) and 837 (claims) files. UHIN is part of the Da Vinci Trebuchet Clearinghouse-to-Clearinghouse Prior Authorization Pilot Cohort, alongside Availity, Experian Health, Optum, TriZetto Provider Solutions, and Waystar.
- Utah NEMSIS (National Emergency Medical Services Information System)coreUHIN partners with Utah's NEMSIS to ingest EMS non-transport fall data. This data is used in conjunction with patient age and encounter diagnoses to power the CHIE's Falls Risk Indicator, providing predictive fall risk assessments for providers.
Scale indicators5 records
Recent moves6 records
Expansion highlights6 records
UHIN competitors and assessment
Company assessmentDirect peers
- Zelis: Healthcare payments and clearinghouse network connecting payers, providers, and consumers, with significant overlap in claims routing, ERA delivery, and eligibility verification workflows.
- Availity: Largest US healthcare clearinghouse and clinical data exchange network, connecting providers and payers via X12 EDI and clinical APIs. Most direct competitor to UHIN's clearinghouse and a co-participant in the Da Vinci Trebuchet pilot.
- Waystar: Cloud-based healthcare payments and clearinghouse platform serving providers and payers with claims, eligibility, and prior-authorization workflows. Competes head-on with UHIN's clearinghouse and a fellow Da Vinci Trebuchet cohort member.
- TriZetto Provider Solutions (Cognizant): Long-standing healthcare clearinghouse and revenue-cycle management provider serving providers and payers. Co-participant with UHIN in the Da Vinci Trebuchet clearinghouse-to-clearinghouse prior authorization pilot.
Emerging players
- Health Catalyst: Healthcare data and analytics platform offering clinical data integration, population health, and analytics. Adjacent competitor to UHIN's predictive analytics products (Falls Risk Indicator, LACE) layered on top of clinical exchange.
- Collective Medical (PointClickCare): Real-time care coordination and ADT alert platform used by hospitals, ACOs, and payers. Closest functional competitor to UHIN's CHIE Alerts (ADT, Falls Risk, LACE) products.
- Velatura HIE: Michigan-based HIE and interoperability services organization spun out of Great Lakes Health Connect. Comparable to UHIN's CHIE as a statewide HIE, with adjacent national HIE services.
Regional players
- CRISP (Chesapeake Regional Information System for our Patients): Regional HIE serving Maryland and surrounding states with clinical data exchange, ADT alerts, and care coordination. Most structurally similar HIE peer to UHIN's CHIE, but in a different geography.
Others
- eHealth Exchange: Nationwide health information exchange network connecting federal agencies, HIEs, and providers. UHIN participates in eHealth Exchange, and the network represents an overlapping channel for cross-organization clinical data sharing.
Broad incumbents
- Optum (Change Healthcare): Operates the Change Healthcare clearinghouse and broader interoperability suite, the dominant US healthcare transaction network. UHIN directly engaged with Optum during the Change Healthcare cyber incident response and competes with it in the same Da Vinci pilot.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat5 records
Key risks6 records
Key highlights7 records
Customer concentration
UHIN social profiles
Digital presenceUHIN compliance and trust
Trust signalCompliance3 records
UHIN financial estimates
Financial estimateRevenue estimate
Valuation estimate
UHIN leadership team
Management profileNumber of profiles
UHIN funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
UHIN M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about UHIN
What does UHIN do?
UHIN operates a healthcare clearinghouse and Clinical Health Information Exchange (CHIE) that enables secure electronic transmission of clinical and administrative data between healthcare providers and health plans. The organization processes medical claims and related transactions using X12 EDI standards and provides a community health record via the CHIE, serving as a central interoperability hub for the Utah healthcare community and beyond.
Is UHIN a public or private company?
UHIN is a private company. It is classified as nonprofit foundation owned and is currently operating.
When was UHIN founded?
UHIN was founded in 1993. It employs 11 to 50 people.
Where is UHIN based?
UHIN is headquartered in Iskola Út, Hungary, in the Europe region.
How does UHIN make money?
Two revenue lines are on record. Clearinghouse Services are the primary driver. The others are CHIE (Clinical Health Information Exchange) Subscriptions.
Who are UHIN's main competitors?
Direct peers on record are Zelis, Availity, Waystar and TriZetto Provider Solutions (Cognizant). Emerging players are Health Catalyst, Collective Medical (PointClickCare) and Velatura HIE. CRISP (Chesapeake Regional Information System for our Patients) is listed as a regional player. eHealth Exchange is listed as an others. Optum (Change Healthcare) is listed as a broad incumbent.
Does UHIN have an API?
No public API is recorded for UHIN.
What industry is UHIN in?
UHIN's product category is Healthcare Interoperability / Health Information Exchange. Its primary akta.pro industry code is HLACABAB, HIE Platforms & Network Services (Community/Regional/National), with a secondary code of HLACABAK, Payer-Provider Data Exchange (X12, prior auth, claims/clinical attachment). Its NAICS code is 518 and its SIC code is 8000.